[ 1 ] SADC HIV and AIDS SADC HIV and AIDS SADC HIV and AIDS SADC HIV and AIDS SADC HIV and AIDS Business Plan: Business Plan: Business Plan: Business Plan: Business Plan: Strategic 5-Year Business Plan Strategic 5-Year Business Plan Strategic 5-Year Business Plan Strategic 5-Year Business Plan Strategic 5-Year Business Plan 2005-2009 2005-2009 2005-2009 2005-2009 2005-2009
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SADC HIV and AIDSSADC HIV and AIDSSADC HIV and AIDSSADC HIV and AIDSSADC HIV and AIDSBusiness Plan:Business Plan:Business Plan:Business Plan:Business Plan:Strategic 5-Year Business PlanStrategic 5-Year Business PlanStrategic 5-Year Business PlanStrategic 5-Year Business PlanStrategic 5-Year Business Plan2005-20092005-20092005-20092005-20092005-2009
The contents of this publication are the sole responsibility of SADC. Thedesignations employed in the presentation of the material in this publicationdo not imply the expression of any opinion whatsoever on the part of theSADC Secretariat concerning the legal status of any country, territory, city orarea or of its authorities, or concerning the delimitations of its frontiers orboundaries.
The mention of specific companies, organisations, or certain manufacturers’products does not imply that they are endorsed or recommended by theSADC Secretariat in preference to others of a similar nature that are notmentioned.
For more information
SADC HIV and AIDS UnitDepartment of STrategic Planning, Gender and Policy HarmonisationPrivate Bag 0095GaboroneBotswanaTel: (+267) 395 1863Fax: (+267) 397 2848 / 318 1070Email: [email protected]: www.sadc.int
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1. Introduction 4
1.1 HIV and AIDS in the SADC Region 4
1.2 The SADC HIV and AIDS Business Plan 4
2. Strategic Context of the Business Plan 5
2.1 The Regional Indicative Strategic Development Plan 5
2.2 SADC Strategic Framework and Programme of Action 5
2.2.1 Key Principles 6
2.2.2 Areas of Strategic Focus 6
2.3 Maseru Declaration 7
3. Priorities of the Business Plan 9
4. Implementation of the Business Plan 12
4.1 Mandate of the HIV and AIDS Unit 12
4.2 Internal Organisational Arrangements 12
4.2.1 Relationship between the HIV and AIDS Unitand the Directorates 13
4.2.2 Relationship between the HIV and AIDS Unit and other Units 14
4.2.3 Relationship between the Unit and the Member States 14
4.2.4 Relationship Between The Unit And Other Regional AndInternational Stakeholders 14
5. Financing the Business Plan 16
6. Monitoring the Business Plan 18
Annex 1 20SADC Five Year Plan for HIV and AIDS 2005–2008
Table of ContentsTable of ContentsTable of ContentsTable of ContentsTable of Contents
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SADC HIV and AIDS Business Plan
1.1 HIV and AIDS in the SADCRegion
The Southern Africa DevelopmentCommunity (SADC) region is the worstaffected by HIV and AIDS in the world. Thecombined population of the SADC statesamounts to only 3.5 per cent of the world’spopulation, but accounts for more than 37per cent of people living with HIV and AIDSin the world.
HIV transmission in the region ispredominantly heterosexual (92%).Consequently, the most affected are thesexually active adults in the 20 to 49-yearage group, the so-called producers andproviders. Vertical transmission frommother to child accounts for 7 per cent oftotal infections and childhood HIV infectionis now the underlying factor in the majorityof childhood illnesses in the highly affectedMember States.
The HIV and AIDS epidemic in the regionis fuelled by a multiplicity of factors suchas poverty, cultural practices, migrantlabour within and between countries,separation of spouses for economic reasons,gender imbalances, intergenerational sex,sexual violence against women, illiteracy,stigma and discrimination, populationmobility, alcohol abuse, and emergencysituations such as civil conflict, war anddisplacement. These factors provide anenvironment in which the immediatedeterminants that facilitate transmissioncan occur.
The impact of HIV and AIDS is being feltacross all sectors in most SADC MemberStates, notably the health, business,agriculture and education sectors. Athousehold level, HIV and AIDS isincreasing levels of poverty and causing thedissolution of many families. At nationallevel, the combination of HIV and AIDS,and famine, have resulted in a humanitariancrisis in some Member States.
1.2 The SADC HIV and AIDSBusiness Plan
SADC member states have, therefore,recognised the urgent need to intensify theirinterventions to address the pandemic. InJuly 2003, an Extraordinary SADC Summitwas convened to adopt the SADC StrategicFramework and Programme of Action(2003-2007) and the Maseru Declaration onthe Combating of HIV and AIDS in theSADC region. These two documentsprovided the policy direction and politicalcommitment, which the SADC Secretariathas been tasked to put into operation.
At the meeting of the SADC Council in Dares Salaam, August 2003, it was agreed thatthere was a need to develop a SADC HIVand AIDS Business Plan. Throughconsultation with the Member States, aninitial plan was developed. At the regionalworkshop, held in South Africa on 26-28th
July 2004, representatives from NationalAIDS Authorities of all SADC MemberStates discussed and refined the plan, andshared information on country experiencesin responding to the challenges of HIV andAIDS. This meeting provided for frankdiscussions, practical solutions and thereaffirmation that all stakeholders must befully involved. Concrete recommendationswere made on treatment, the multi-sectoralresponse, resource mobilisation, monitoringand evaluation, networking andinformation sharing, and response underemergency situations. These have been fullyintegrated into this Strategic 5-year BusinessPlan.
The HIV and AIDS Business Plan has beendeveloped in the context of three key SADCpolicy documents. These documents haveserved to set the Business Plan in its strategiccontext and will continue to guide SADC’sresponse over each five-year timeframe.
2.1 The Regional Indicative StrategicDevelopment Plan (RISDP)
In March 2001, SADC Member States metin Windhoek to approve the restructuringof SADC Institutions. This restructuringprocess resulted in the clustering of theoriginal twenty-one sectors of SADC intofour Directorates in order to improve theefficiency and effectiveness of SADCpolicies and programmes.
In addition, the RISDP was developed,which aimed to complement therestructuring by providing clear strategicdirection for SADC policies andprogrammes. By providing Member Stateswith a consistent and comprehensiveprogramme for long-term economic andsocial policies, the RISDP aims to deepenregional integration.
The HIV and AIDS Business Plan has beendeveloped in the context of the Regional
Indicative Strategic Development Plan(RISDP) and is a detailed, time-bound, ‘roadmap’, identifying intervention areas, keyactivities and performance indicators, aswell as the role of different stakeholders.
In addition, a set of Project Concept Noteshas been developed, based on the BusinessPlan, for the purpose of financing theactivities. Partners who are keen to supportdifferent intervention areas can select froma ‘menu’ of activities and provide thenecessary financial and technical input.
2.2 The SADC Strategic Frameworkand Programme of Action
The Vision of the Strategic Framework is toachieve significantly reduced levels of HIVand AIDS in the SADC region. Theoverarching goal is to decrease the numbersof individuals and families infected andaffected by HIV and AIDS in the region, soas to ensure that HIV and AIDS is no longera threat to public health and to sustainedsocio-economic development of MemberStates. In order to achieve this goal, theobjectives and expected outcomes havebeen identified below:
2.2.2.2.2. Strategic Context of the Business PlanStrategic Context of the Business PlanStrategic Context of the Business PlanStrategic Context of the Business PlanStrategic Context of the Business Plan
Main Objectives Expected Outcomes
To reduce the incidence of new infections Reduced incidence and prevalence of HIV and AIDSamong the most vulnerable groups within in the SADC region.SADC
To mitigate the socio-economic impact of Strategies for responding to the socio-economicHIV and AIDS impact of HIV and AIDS are developed and
implemented in all programme areas of SADC.
To review, develop and harmonise policies and Policies and programmes of SADC are harmonisedlegislation relating to HIV prevention, care and and effectively co-ordinated.support, and treatment within SADC
To mobilise and co-ordinate resources for a Adequate regional and global resources are mobilisedmulti-sectoral response to HIV and AIDS in and effectively utilised in a co-ordinated responsethe SADC region in the region.
To monitor the implementation of the Monitoring mechanisms are in place, includingSADC Framework and regional, continental disaggregated data and information by gender.and global commitments, ensuring that genderis fully mainstreamed.
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SADC HIV and AIDS Business Plan
2.2.1 Key Principles
A set of nine key principles were used toguide the development of the StrategicFramework, and will be utilised to directits implementation through the BusinessPlan. These are:
• That all policies and programmes tocombat the HIV epidemic be basedon a multi-sectoral response,consistent with strategies at thenational level.
• The principle of subsidiarity whichimplies that all policies andprogrammes should be developedand implemented at the level atwhich they can be most effective.
• The prioritisation of activities toreflect the principle of importanceand additivity. This meansconcentrating on those issues thatare crucial for the overall success ofSADC.
• That gender mainstreaming iscarried out in all policies andprogrammes, as it is understood thatthe relationships between men andwomen are integral to thedevelopment of an effectiveresponse to the epidemic.
• That SADC activities on HIV andAIDS reflect its comparativeadvantage as a regionalorganisation and the allocation ofresponsibilities to the Directorates orsectors should be in line with theirmandates.
• That SADC policies andprogrammes are complementary tothose of Member States, to avoidoverlap and duplication.
• That SADC activities are carried outwithin a framework that recognisesthe role of national, regional andinternational players.
• That policies and programmes arebased upon the respect of humanrights , and the obligations that
Members States have agreed to assignatories to international andregional conventions.
• That effective and relevant policiesand programmes need to bedeveloped in collaboration withpartners at national and regionallevel.
2.2.2 Areas of Strategic Focus
The Strategic Framework further elaboratesthe main areas and parameters for a regionalresponse to HIV and AIDS. The main areasof strategic focus are:
i Policy development andharmonisation in key areas such asprevention, care, support andtreatment.
ii Mainstreaming of HIV and AIDS inall SADC core areas, and regionalintegration in view of the multi-dimensional nature of the pandemic.
iii Capacity building to undertake themainstreaming of HIV and AIDS atall the levels in SADC throughvarious institutional measuresincluding provision and retention ofthe required skills.
iv Facilitating technical responsesthrough the development ofguidelines and exchange of bestpractices.
v Facilitating resource networks bymapping available resources,rationalising activities and focusinginterventions on regional prioritiesand common needs.
vi Facilitating the monitoring of regionaland global commitments so thatMember States have a commoninterest in creating conditions that areconducive to the attainment oftargets.
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2.3 Maseru Declaration
The Maseru Declaration of 4th July 2003, setsout SADC Member States’ commitment tocombating HIV and AIDS. It outlines fivekey priority areas for action, which havebeen incorporated into the Business Plan.
The Maseru Declarationon HIV and AIDS
2003Priority Areas
i Prevention and Social Mobilisation
ii Improving Care, Access toCounselling and Testing Services,Treatment and Support
iii Accelerating Development andMitigating the Impact of HIV andAIDS
iv Intensifying ResourceMobilisation
v Strengthening Institutional,Monitoring and EvaluationMechanisms
i Prevention and Social Mobilisation
Prevention and social mobilisation will beachieved by reinforcing multi-sectoralprevention programmes that promoteresponsible sexual behaviour andintensifying the provision of user-friendlyreproductive health services. In addition,programmes designed to increase capacitiesof women and girls to protect themselvesfrom the risk of HIV infection, andprogrammes to improve education andemployment opportunities for youth will bepromoted. Prevention of Mother to ChildTransmission (PMTCT) programmes willalso be scaled up as well as HIV and AIDSeducation for all stakeholders. Finally,strategies to prevent the spread of HIVamong the national uniformed services willbe implemented.
ii Improving Care, Access toCounselling and Testing Services,Treatment and Support
In order to improve care, treatment andsupport, national health care systems aswell as family and community based carestructures will be strengthened to ensurethat the capacity of caregivers is developed.Workplace and VCT programmes will beexpanded and supported and efforts willbe made to remove stigma and discrimationof people living with HIV and AIDS.Through regional initiatives, essentialmedicines, including ARVs, will be suppliedat affordable prices. Nutrition programmeswill be invested in, and a regulatoryframework for the utilisation of traditionalmedicines will be developed.
iii Accelerating Development andMitigating the Impact of HIV andAIDS
Accelerating development and mitigatingthe impact of HIV and AIDS will take placeby creating an enabling environment toaddress underlying factors that lead to HIVinfection. Policies and strategies as well asregional initiatives will be harmonised andenhanced, and best practices sharedbetween Member States. HIV and AIDSwill be mainstreamed into the regionalintegration process and focal interventionareas. In addition, the economic and socialimpact of HIV and AIDS will be evaluatedand mechanisms to mitigate these impactswill be established.
iv Intensifying ResourceMobilisation
In order to achieve the above goals, SADCMember States pledge to mobilise sufficientresources, involve all stakeholders andensure that funds are rapidly disbursed. ARegional Fund for the implementation of theHIV and AIDS Strategic Framework is tobe established. The Maseru Declaration alsoreaffirms the commitment of Member Statesto allocate at least 15 per cent of theirbudgets for improving the health sector andurges International Cooperating Partners toincrease their financial and technicalsupport.
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SADC HIV and AIDS Business Plan
v Strengthening Institutional,Monitoring and EvaluationMechanisms
Institutional mechanisms for HIVsurveillance, sharing of experiences andexchange of information on key interventionareas will be established, while training willbe intensified to strengthen Member States’capacities to manage the epidemic.Monitoring and evaluation will take placeto ensure the efficacy of the implementationof the Maseru Declaration, othercontinental and global commitments, andthe SADC HIV and AIDS StrategicFramework and Programme of Action(2003-2007).
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HIV and AIDS feature prominently in theRISDP as one of the key priority areas forintervention. The Business Plan for HIV andAIDS was developed in this context and has,therefore, focused on five key interventionareas, namely:
i. Policy Development andHarmonisation
ii. Capacity Building andMainstreaming HIV and AIDSinto all SADC policies and plans
iii. Facilitation of a TechnicalResponse, Resource Networks,Collaboration and Coordination
iv. Resource Mobilization for theRegional Multi-Sectoral Response
v. Monitoring and Evaluation of theRegional Multi-Sectoral Response
Under each of these intervention areas, keyactivities and performance indicators havebeen highlighted, as well as the role ofvarious stakeholders and the anticipatedtimeframes. The detailed activities of theBusiness Plan are tabled in Annex 1.
Output 1: Policy Development andHarmonisation
Policy Development and Harmonisationmakes up much of the work of the HIV andAIDS Unit. Within this intervention area,seven different outputs have been identified.
Output 1.1 under this intervention areastates that policies for intervention areharmonised. This includes the need todevelop, harmonise and review policies insix different target areas:
• Regional guidelines for BehaviourChange Communication (BCC)programmes, including the role of
cultural and sporting industries inHIV prevention;
• Guidelines for programming HIVand AIDS in the uniformed forces;
• Programmes and guidelines forspecial HIV prevention andvulnerability reduction targeted atpre-adolescents, young people andwomen;
• Guidelines for the prevention ofmother to child transmission(PMTCT);
• Regional guidelines for STI/HIV andbehavioural surveillance systems;and
• Regional guidelines for reducingHIV and AIDS related stigma anddiscrimination.
Output 1.2 specifies that policies for careand support are harmonised. This processwill take place by reviewing, developing andharmonising guidelines and policies in thefollowing four target areas:
• Comprehensive care and support,including nutrition, for people livingwith HIV and AIDS;
• Policies and programmes fororphans and vulnerable children(OVCs);
• Regional joint procurement of drugs,medical supplies and testingreagents; and
• Guidelines for voluntary counsellingand testing (VCT).
Output 1.3 demands that policies fortreatment are harmonised. This includes
• The review and harmonization ofprotocols for STI treatment, HIV andAIDS, TB and other opportunisticinfections;
3.3.3.3.3. Priorities of the Business PlanPriorities of the Business PlanPriorities of the Business PlanPriorities of the Business PlanPriorities of the Business Plan
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SADC HIV and AIDS Business Plan
• The implementation of regionalguidelines for the use of indigenousknowledge systems in developingand producing alternative drugs andmedicines for treatment of commondiseases, including HIV and AIDS;and
• The review and harmonisation ofguidelines for health deliverysystems taking into considerationHIV and AIDS mainstreaming andthe roll-out of anti-retroviral (ARV)treatment.
Output 1.4 under this intervention area isthat policy on HIV and AIDS migrant/mobile and displaced populations isdeveloped and harmonised. This process willtake place by developing and harmonisingguidelines, laws and programmeinterventions in the following four targetareas:
• High transmission areas like highactivity areas, cross border sites andhigh traffic sites in the context of theproposed SADC protocol on the freemovement of people;
• Health issues for displaced andmobile populations including illegalimmigrants focusing on treatmentcontinuity, health services, messages,drug labelling information;
• Transit at borders and ports;
• ARV treatment related to migrantsand the equity in treatment accessacross countries.
Output 1.5 outlines that regional policiesand plans to sustain increasing humanresource needs as a consequence of HIV andAIDS are developed and harmonised inSADC. This is to be achieved by:
• Developing and harmonising aregional multi-sectoral HumanResource and HIV and AIDS policyfor education and training, retentionand safe work environments in thepublic service;
• Supporting the inclusion of the
policy in the country coordinatingmechanisms, in HR bilateralfunding and in public sectorexpenditure negotiations withmulti-lateral agencies such as theIMF and World Bank.
Output 1.6 specifies that a corporate policyon HIV and AIDS at the SADC Secretariatis developed and implemented. This policywill be developed and the guidelinesimplemented by the end of 2005.
Output 1.7 targets the SADC sectors andrequires that sectoral policies on HIV andAIDS are developed and harmonised in allSADC sectors . These policies will bedeveloped for the Food, Agriculture andNatural Resources Directorate, the HumanSocial Development and SpecialProgrammes Directorate, the Infrastructureand Services Directorate and the Trade,Finance and Investment Directorate.
Output 2: Capacity Building andMainstreaming HIV andAIDS into all SADCPolicies and Plans
The Business Plan’s second interventionarea covers both capacity building and HIVand AIDS mainstreaming. This interventionarea aims to achieve three outputs.
Output 2.1 requires integrating HIV andAIDS in all SADC policies andprogrammes. The key tasks will involve
• Strengthened capacity of theSecretariat to integrate andfacilitate implementation of HIVand AIDS in all sectors of theSADC Programme;
• Support to the mainstreaming ofHIV and AIDS in all sectors ofSADC at Member State level.
Output 2.2 seeks the piloting models ofintegrating HIV and AIDS . This will takeplace through developing:
• A SADC model to assist children
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affected by the epidemic to remainin school through ‘Circles ofSupport’;
• A model for reducing thevulnerability of transport workersto HIV infection through a multi-country transport initiative;
• A model for integrating HIV andAIDS into water resourcemanagement;
• A SADC programmes andguidelines for reducingvulnerability to the risk ofoccupational exposure to HIVinfection at the workplace indifferent sectors.
Output 2.3 requires the improving andsustaining of human resources and technicalcapacity in Member States. The key taskswill involve the
• Provision of technical support toMember States to review andstrengthen their capacity for multi-sectoral coordination of HIV andAIDS programmes in the contextof mainstreaming; and
• Review and strengthening ofHuman Resource practices andprocedures to mitigate the impactof HIV and AIDS on the publicservice.
Output 3: Facilitation of a TechnicalResponse, ResourceNetworks, Collaborationand Coordination
The third intervention area has a broadmandate covering two outputs.
Output 3.1 is the enhanced coordination andsharing of technical information andresource in HIV and AIDS among MemberStates and partners, which will be achievedby establishing a regional database,mechanisms for the exchange of scientific
and behavioural research results andfacilitating information exchangethroughout the region and across SADCsectors.
Output 3.2 aims to achieve enhancedcollaboration in the response to HIV andAIDS and related diseases in SADC,through better regional collaboration.
The Business Plan’s fourth intervention areafocuses on the financial side of the multi-sectoral response by ensuring that the fundsto match the needs of the regional HIV andAIDS response are secured, through theresource mobilisation plan, theestablishment of a SADC trust fund, theimplementation of the Project ConceptNotes and the maintenance of partnershipsfrom the donor community.
Output 5: Monitoring and Evaluationof the Regional Multi-Sectoral Response
Effective monitoring of the HIV and AIDSresponse in the SADC region will be carriedout by focusing on the following four keyareas:
• Implementation of the MaseruDeclaration, Abuja Declaration andUNGASS;
• Development and implementationof an M&E Plan for a RegionalMulti-Sectoral Response;
• Monitoring the implementation ofthe existing SADC Code of Conducton employment and HIV and AIDS;and
• Establishment of an InformationManagement System for trackingthe HIV and AIDS Response atSADC level.
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SADC HIV and AIDS Business Plan
4.1 Mandate of the HIV and AIDSUnit
The broad mandate of the HIV and AIDSUnit is to lead, coordinate and manageSADC’s response to the epidemic throughthe operationalisation of the HIV and AIDSStrategic Framework (2003-2007) and theMaseru Declaration. After the restructuringof SADC, the HIV and AIDS Unit has takenover the role of coordinating SADC’sresponse to HIV and AIDS from theprevious Health Sector Coordination Unit.
In executing the above mandate, the Unitwill direct its focus on SADC’s key strategicintervention areas including:
a) Mainstreaming HIV and AIDS in theregion - at policy level, programmelevel,project level and activity level -through the Directorates and theDepartment of Strategic Planning,Gender and Policy Harmonization.
b) Developing and strengthening thecapacity to undertake themainstreaming of HIV and AIDS at alllevels in SADC, and creating the skillsneeded for the integration of HIV andAIDS in all policies and programmes.
c) Co-ordinating and harmonising thedevelopment of policies and strategiesin major intervention areas, includingprevention; care and treatmentincluding provision of antiretroviraldrugs (ARV), nutrition and traditionalmedicines; and procurement andmanufacturing of essential drugs andmedical supplies for the management ofHIV and AIDS and related conditions.
d) Facilitating technical response andnetworks by providing mechanisms andframeworks for the development ofguidelines and exchange of bestpractices in the major intervention areassuch as mainstreaming of HIV andAIDS, Prevention of Mother to Child
4.4.4.4.4. Implementation of the Business PlanImplementation of the Business PlanImplementation of the Business PlanImplementation of the Business PlanImplementation of the Business Plan
Transmission (PMTCT), support toorphans, home based care, andtreatment of HIV-related conditions,including antiretroviral therapy (ART).
e) Coordinating and facilitating themonitoring of regional and globalcommitments, in particular the AbujaDeclaration, Millennium DevelopmentGoals (MDG) and UNGASS targets forHIV and AIDS, and related indicators;and the publication of regular reviewsfor SADC as a whole to supplement themonitoring being undertaken at thelevel of individual countries.
f) Advocacy and Resource Mobilisation,including spearheading advocacy foreffective action on the epidemic in theregion; and advocacy on strategic issuessuch as governance and nationalleadership in AIDS, gender imbalance,Greater Involvement of Persons livingwith HIV and AIDS (GIPA), culture andvulnerable groups.
h) Establishing and sustaining strategicpartnerships with the Civil societysector including Business and withbilateral and multilateral organisationsin the region and internationally.
4.2 Internal OrganisationalArrangements
The Business Plan will be driven by the HIVand AIDS Unit, through a team of four corestaff members and complemented by projectstaff. Given the multi-dimensional, multi-level and multi-sectoral nature of theepidemic, the HIV and AIDS Unit needs towork closely with the SADC SecretariatDirectorates and the other SADC Units.
In order to implement the Business Plan asefficiently and effectively as possible, theHIV and AIDS Unit has regular informedinteraction with the Secretariat Directoratesand the other Units. In addition, the HIVand AIDS Unit works with Member States,
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Regional and International Stakeholders,International Cooperating Partners andCivil Society Stakeholders.
The organisational structure is shown in thediagram below.
HIV & AIDSUnit Manager’s
Office
PolicyDevelopment and
HarmonisationSection
Capacity Buildingand
MainstreamingSection
TechnicalCollaborationand Research
Section
Directorate forTrade, Industry,
Finance andInvestment
Directorate forFood, Agriculture
and NaturalResources
Directorate forSocial and HumanDevelopment and
SpecialProgrammes
Directorate forInfrastructureand Services
Organisational Structure of the SADC HIV and AIDS Unit
Chief Director’sOffice
Department forStrategic Planning,Gender and Policy
Harmonisation
4.2.1 Relationship between the HIVand AIDS Unit and the Directorates
Directorates have the primary responsibilityto support sectors that are linked to theircore business in the region to mounteffective multisectoral national and regionalresponses. The Unit interacts with theDirectorates in accordance with itsmandate, and to facilitate and coordinateimplementation of interventions prioritisedin the HIV and AIDS Business Plan.
To facilitate the response of the Directorates,each has appointed a focal point persondedicated to HIV and AIDS. The functionof the focal point is to support and advisethe Director in coordinating the responseof the Directorate. The Focal Point is the link
between the Directorate and the HIV andAIDS Unit. They provide, when necessaryand through the National AIDS Council, aday-to-day link between the Directorateand Member State sectors linked to theDirectorate, on HIV and AIDS issues.
A multisectoral HIV and AIDS TechnicalWorking Group (TWG) composed ofmembers of the HIV and AIDS Unit andDirectorate Focal Points, and chaired by theHIV and AIDS Manager, has beenestablished. The TWG works to a) establisheffective operational links betweenDirectorates and the Unit b) ensurecollaboration between Directorates and theUnit in implementing the Business Plan andthe SADC HIV and AIDS Programme ingeneral.
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SADC HIV and AIDS Business Plan
4.2.2 Relationship between the HIVand AIDS Unit and other Units
The role of the existing units in theSecretariat is to support the Secretariat byproviding crosscutting services toDirectorates. The HIV and AIDS Unit is ina way different from other units in that ithas the task of leading the implementationof a specialised regional programme.Consequently, a bi-directional supportiverelationship has been put into place. TheHIV and AIDS Unit will require from theother units support similar to that renderedto Directorates; on the other hand the Unitwill have a supportive role for other unitsin their HIV and AIDS response roles.
technology and library services4. Statistics5. Public relations6. Administration7. Finance8. Gender Unit
4.2.3 Relationship between the Unitand the Member States
In the context of HIV and AIDS, all MemberStates have established structures that havenational mandates to lead, co-ordinate andimplement national responses to HIV andAIDS; a common structure in all SADCcountries is the National AIDS Council/Commission (NAC). Lines ofcommunication on HIV and AIDS mattersbetween the Secretariat and the countrylevel have been developed to allow for quickdecision-making and implementation in away that is commensurate with the urgencyand gravity of the AIDS epidemic in theregion. (See diagram on page 15.)
To facilitate effective regional collaborationa forum that brings together the SADC HIVand AIDS Unit staff and the Directors ofthe National AIDS Council Secretariats ofthe thirteen SADC countries, has also beenestablished. The role of this forum is to shareinformation and best practices; reviewprogress towards the development,harmonisation and implementation ofregional policies, guidelines andprogrammes; and other priority regionalresponse issues.
4.2.4 Relationship Between The UnitAnd Other Regional And InternationalStakeholders
The HIV and AIDS Unit intends to continueworking with bilateral and multilateralorganisations (such as UN agencies), as wellas civil society organisations including Non-Governmental Organisations (NGOs),Faith-based Organisations (FBO), academicinstitutions and business. Many of theseregional and international organisations arealready heavily involved in the response toHIV and AIDS in the region and the Unit isreviewing existing partnerships andstrengthening those that add value to theregion’s response, as well as establishingadditional partnerships. The choice of NGOsfor partnering depends on their regionalscope, compatibility of mandates with thoseof SADC and complementarity ofprogramme implementation.
An International Cooperating PartnersForum is soon to be established to facilitatecooperation and coordination and to ensureinformation sharing and maximisation ofresponse efforts in the region and scalingup interventions.
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Chief Director
[DSPGPH]
SADC HIV &AIDS Unit
National AIDSCouncil/
Commission
SADC (Multisectoral)National Committee
(SNC)/Contact Person
National Sectors
SADCSECRETARIAT
COUNTRYLEVEL
Relationship between the SADC HIV Unit and Member States
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SADC HIV and AIDS Business Plan
The HIV and AIDS Business Plan will befinanced from three different sources:Member States’ budgets, funds fromInternational Cooperating Partners forspecific projects and an HIV and AIDSTrust Fund.
Member States will allocate budgets for theimplementation of targeted initiatives,particularly at a national level. In addition,a set of Project Concept Notes has beendeveloped, based on the Business Plan andInternational Cooperating Partners who arekeen to support different intervention areascan select from a ‘menu’ of activities andprovide the necessary financial input.Finally, an HIV and AIDS Trust Fund is tobe set up to assist with the financing of othernecessary areas of intervention.
The Project Concept Notes provide factsheets of information about six differentproject areas, each of which covers anintervention area, as specified in theBusiness Plan.
i Harmonisation andDevelopment of Regional Policies onHIV and AIDS Prevention, Care,Support and Treatment.
Activities for this project include the reviewof prevention, care and support andtreatment policies adopted by individualMember States; Preparation of draft policieson prevention, care and support, andtreatment; Finalisation and adoption of acomprehensive regional policy.
ii Capacity Building and HIV andAIDS Mainstreaming into SADC’sDirectorates Mandates, Policies andProgrammes.
The activities under this project will takeplace in three phases, namely: HIV andAIDS Mainstreaming Needs Assessment;Development of HIV and AIDSMainstreaming Guidelines; and, CapacityBuilding of Key Personnel through initialtraining and on-the-job mentoring. Theproject will also aim at reviewing existingpublic sector human resources practices inthe region and internationally in order todevelop guidelines to assist Member Stateswith the HIV crisis affecting their civilservice.
iii SADC Secretariat HIV and AIDSWorkplace Programme
The activities under this project willculminate in the development of an HIVand AIDS Workplace Policy which aims toeducate the workforce enough to preventnew infections, destigmatise the workplaceenvironment and develop a strong referralsystem to health and social service facilities.
iv Scaling-Up Cross BorderInitiatives
The objective of this project is to reduce thespread of HIV due to the increase in mobilitywithin transport corridors. The activitieswill include the involvement of transportcompanies in designing programmestargeted at truck drivers before they arriveat border posts and will include thecommunities around border posts. Therewill also be a consultative process set upwith the government stakeholders thatmanage the border posts.
5.5.5.5.5. Financing the Business PlanFinancing the Business PlanFinancing the Business PlanFinancing the Business PlanFinancing the Business Plan
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v Facilitation of TechnicalResponse, Resource Networks,Collaboration and Coordination
This project will allow for thedocumentation of best practice in HIV andAIDS in Member States and theircompilation into a data base which can thenbe disseminated to all Member States.
Budget per Intervention Area
Project Concept Note Indicative Budget
US$
Policy development and harmonization of 1,977,000HIV and AIDS in the SADC Region
Capacity Building and HIV and AIDS 3,319,000Mainstreaming
SADC Secretariat HIV and AIDS Workplace 220,000Programme
Scaling-up Cross-Border Initiatives 11,000,000
Facilitation of Technical Response, Resource 2,816,000Networks, Collaboration and Coordination
M&E of Global and Regional Commitments 3,438,900
TOTAL 22,770,900
vi Monitoring and Evaluation Planof Regional and Global Commitments
The objective of this project is to monitordeliverables from the SADC HIV and AIDSprojects and national government’sprogress in their development efforts, andin the fight against HIV and AIDS abidingto global indicators. This will be achievedthrough the design and implementation ofa Monitoring and Evaluation Plan.
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SADC HIV and AIDS Business Plan
The successful implementation of theBusiness Plan is dependent on all the keystakeholders playing their roles. Theactivities and timeframes proposed assumethe full participation of all players.
Annual plans will be developed, based onthe Five-year Business Plan, in order to
6.6.6.6.6. Monitoring the Business PlanMonitoring the Business PlanMonitoring the Business PlanMonitoring the Business PlanMonitoring the Business Plan
ensure rapid and effective implementationof the five key target areas.
At the regional level, the SADC Secretariatwill facilitate policies and coordination, aswell as collaborating with regional CivilSociety Organisations (CSOs) and theprivate sector. Member States, at the
Technical and Political Oversight of the SADC HIV and AIDS Programme
Council ofMinisters
IntegratedCommittee of
Ministers (ICM)
TECHNICAL ADVISORYCOMMITTEE
(Multisectoral & MSRepresentation)
CHIEF DIRECTOR ANDDIRECTORATES
TWGHIV & AIDS
UNIT
NACForum(NACs& theUnit)
ICPForum(ICPs& theUnit)
NGOForum(NGOs& theUnit)
PrivateSectorForum
(Businesses& theUnit)
SUMMIT
POLITICALLEVELS
TECHNICALLEVELS
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national level will provide the necessaryinput for coordination and policyharmonisation, and implement programmesthrough government and national CSOs.International Cooperating Partners (ICPs)will provide technical and financialassistance to ensure the Business Plan isachievable.
The SADC Technical Advisory Committeeon HIV and AIDS will oversee theimplementation of the Business Plan. TheCommittee, which reports through theSADC Secretariat to the IntegratedCommittee of Ministries (ICM) is chaired bythe Chief Director of the SADC Secretariat.Other members of the committee includerepresentation of the Member States(troika), the ICP representatives, the UNrepresentatives and representatives of theCivil Society Organisations, incorporatingfaith-based organisations, the youth, genderand people living with HIV and AIDS.Political oversight of the Business Plan willtake place through the Council of Ministers.